| NPI | 1831656883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA BURNS CEO 740-740-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2024-04-13 |